Hello,
You have long-standing OCD and anxiety, and it looks like you were on multiple medicines at the same time - benzodiazepines (clonazepam, etizolam) plus two SSRIs (fluvoxamine and paroxetine).
This combination can cause weight gain, sedation, and in some people mild
LFT elevation, especially when used for many years.
Stopping medicines suddenly is why your anxiety has come back severely. OCD usually needs long-term, stable treatment, but with the right medication and right dose, not multiple sedatives.
The good news is:
There are safer, weight-neutral,
liver-friendly options for OCD, and most patients improve very well when treatment is properly adjusted.
Next Steps
1. Restart treatment under supervision - but with a new plan.
Options like sertraline, escitalopram, fluoxetine are usually safer for LFTs.
2. Avoid long-term use of clonazepam/etizolam - they worsen dependence and anxiety in the long run.
3. Get a fresh
LFT panel and share it with your psychiatrist.
4. Consider CBT with Exposure- Response Prevention (ERP) - this is the most effective therapy for OCD.
5. If previous medicines caused weight gain, your doctor can shift you to more tolerable SSRIs or add adjuncts like low-dose aripiprazole if required.
Health Tips
1. Do not restart old medicines on your own.
2. OCD does improve, but treatment must be gradual, consistent, and monitored.
3. Weight gain and
LFT issues can be avoided with the right medication choice.
For more queries, Reach out for an online or in-person consultation:
📞 NEURONAL FIX CLINIC, RAMPRASTHA COLONY, Ghaziabad, (near Shreshtha Vihar, Delhi)- +91- 74XX52XX97XX67XX61